A blastocoele is a small cavity on the center of the embryo, and the developing embryonary cells will grow around it. Then, a flat layer cell forms on the exterior of this cavity, and the zona pellucida, the blastocyst's barrier, remains the same size as before. Cells grow increasingly smaller to fit in. This new structure with a cavity in the center and the developing cells around it is known as a blastocyst.

The presence of the blastocyst means that two types of cells are forming, an inner-cell mass growing on the interior of the blastocele and cells growing on the exterior of it. In 24 to 48 hours, the zona pellucida breaches. The cells on the exterior of the blastocyst begin excreting an enzyme which erodes epithelial uterine lining and creates a site for implantation.

The cells surrounding the blastocyst now destroy cells in the uterine lining, forming small pools of blood, which in turn stimulate the production of capillaries. This is the first stage in the growth of the placenta. The inner cell mass of the blastocyst divides rapidly, forming two layers. The top layer becomes the embryo, and cells from there occupy the amniotic cavity. At the same time, the bottom layer forms a small sac (if the cells begin developing in an abnormal position, an ectopic gestation may also occur at this point).

Several days later, chorionic villi in the forming placenta anchor the implantation site to the uterus. A system of blood and blood vessels now develops at the point of the newly forming placenta, growing near the implantation site. The small sac inside the blastocyst begins producing red blood cells. For the next 24 hours, connective tissue develops between the developing placenta and the growing embryo. This later develops into the umbilical cord.

Following this, a narrow line of cells appears on the surface on the embryo. Its growth makes the embryo undergo gastrulation, in which the three primary tissue layers of the fetus, the ectoderm, mesoderm, and endoderm, develop. The narrow line of cells begin to form the endoderm and mesoderm. The ectoderm begins to grow rapidly as a result of chemicals being produced by the mesoderm. These three layers give rise to all the various types of tissue in the body.

Approximately 18 days after fertilization, the embryo has divided to form much of the tissue it will need. It is shaped like a pear, where the head region is larger than the tail. The embryo's nervous system is one of the first organic systems to grow. It begins growing in a concave area known as the neural groove.

The blood system continues to grow networks which allow the blood to flow around the embryo. Blood cells are already being produced and are flowing through these developing networks. Secondary blood vessels also begin to develop around the placenta, to supply it with more nutrients. Blood cells begin to form on the sac in the center of the embryo, as well as cells which begin to differentiate into blood vessels. Endocardial cells begin to form the myocardium.

At about 24 days past fertilization, there is a primitive S-shaped tubule heart which begins beating. The flow of fluids throughout the embryo begins at this stage.